Evidenced based patient safety project/Nursing Protocol and Procedures.DISCLAIMER: This policy was developed solely for the use of Childrens Hospital of Chicago Medical Center and its affiliates (Medical Center).

Evidenced based patient safety project/Nursing Protocol and Procedures.DISCLAIMER: This policy was developed solely for the use of Childrens Hospital of Chicago Medical Center and
its affiliates (Medical Center).

Nursing Protocol and Procedures
Name: MCD Protocol
Scope: Organization-wide Page 1 of 12
Patient care is revised to meet the individual patient needs.
DISCLAIMER: This policy was developed solely for the use of Childrens Hospital of Chicago Medical Center and
its affiliates (Medical Center). The information contained herein shall not be relied upon by individuals or
entities outside Medical Center for accuracy timeliness or any other purpose.
PURPOSE:
To outline the nursing management for the prevention of deep vein thrombosis and venous
thromboembolism in patients who are thirteen years (13) of age or older.
DEFINITIONS:
Thromboembolism: Blood clot in an artery or vein is known as thromboembolism.
Deep Vein Thrombosis (DVT): Development of thrombosis in one of the deep veins of the
extremities frequently the iliac or femoral veins or major upper extremity veins. These clots can
break off from the vein travel through the heart and lodge in the arteries of the lungs causing a
potentially fatal pulmonary embolism.
Pulmonary Embolism (PE): A thrombus that breaks free from a vein travels through the
veins reaches the lungs and lodges in a major or minor pulmonary vessel. A pulmonary
embolism is a potentially fatal condition that may cause death within minutes to hours.
Mechanical Compression device (MCD): A mechanical device that is used for pneumatic
compression applied via a cuff that inflates and deflates uniformly. The cuff may be applied to
the extremity.
Thrombophlebitis: The formation of a venous clot accompanied by inflammation of the vein
wall. This may be the result of trauma to the vessel wall hypercoagulability of the blood or
infection. Intra or post-operative venous stasis prolonged sitting standing or immobilization or
a long period of IV catheterization (eg. PICC line) may also cause thrombophlebitis.
Venous Thromboembolism (VTE): A condition including DVT and PE.
Venous thrombosis: A condition that occurs when a clot forms within a vein without
inflammation.
Nursing Protocol and Procedures
Name: MCD Protocol
Scope: Organization-wide Page 2 of 12
Patient care is revised to meet the individual patient needs.
DISCLAIMER: This policy was developed solely for the use of Childrens Hospital of Chicago Medical Center and
its affiliates (Medical Center). The

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